Photo Integrated Experience Challenge (PIEC): An Innovative Active Learning Method for Teaching Ophthalmology Residents
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摘要
Background: Active learning has emerged as a cornerstone in medical education, promoting superior knowledge retention and social-cognitive skills compared to traditional methods. For ophthalmology residents, developing proficiency in interpreting ophthalmic images is paramount, as over 80-90% of ocular diagnoses rely on ophthalmic images from digital slit lamp and other ophthalmic devices. In light of this, we introduce the Photo Integrated Experience Challenge (PIEC), an innovative active learning method that leverages the combined strengths of ophthalmic image recognition and personal experience sharing. This study aims to evaluate the effectiveness of PIEC, along with gathering residents feedback on its implementation.
Methods: This is a single-center, prospective study involving 29 ophthalmology residents from Department of Ophthalmology, Thammasat University, Thailand. The PIEC session consisted of 5-6 participants and lasted for 50 minutes. Initially, a first-year resident initiates the discussion by sharing their existing knowledge and observations related to a pre-assigned ophthalmic image. Subsequently, second- and third-year residents expand upon the initial insights, offering additional perspectives and integrating their personal clinical experiences with the topic. Throughout the process, the instructor helps facilitate the discussion, share expert knowledge and experience from clinical practice, and synthesize key learning points and give instant feedback at the session's conclusion. To objectively assess knowledge acquisition, 29 participating residents completed pre- and post-course self-evaluations on each covered topic. Additionally, a feedback questionnaire was employed to qualitatively evaluate student experiences and perceptions of PIEC.
Results: Mean pre- and post-course self-evaluation scores significantly increased from 52.70% to 82.60% (p<0.05), demonstrating improved knowledge acquisition. Qualitative feedback revealed PIEC fostered deeper understanding, engagement, and critical thinking. Residents reported increased confidence in communication and knowledge integration.
Conclusion: PIEC effectively enhances ophthalmology residents' knowledge, critical thinking, and communication skills, suggesting its potential as a valuable active learning tool in ophthalmology education.
Conflicts of Interest: Authors have no conflict of interest.
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